TRUDERM PA (NPI# 1336407527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336407527 |
| Entity Type | Organization |
| Organization Name | TRUDERM PA |
| Practice Address |
3319 State Road 7 Suite 202 Wellington FL 33449-8092 |
| Practice Telephone | 5612078080 |
| Practice Fax Number | 5612078082 |
| Mailing Telephone | 5612078080 |
| Mailing Fax Number | 5612078082 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | DEBRA VANDERHOFF (PRACTICE MANAGER) |
| Authorized Official Telephone | 5619325259 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians |
| Street Address |
3319 STATE ROAD 7 SUITE 202 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33449-8092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598464 | Steven A Dutcher | Neurological Surgery | 3319 State Road 7, Suite 313, Wellington, FL 33449-8093 | 2005-09-12 |
| 1629516992 | Natalie Eileen Dargan | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449-8094 | 2017-02-07 |
| 1477099596 | Palm Beach Neurosurgery | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449-8094 | 2017-01-12 |
| 1548705163 | Christina L Daniello | Physician Assistant | 3319 State Road 7, Wellington, FL 33449-8094 | 2017-01-05 |
| 1093164790 | David Alexander Ker Mcalpine | Physical Therapist | 3319 State Road 7, Wellington, FL 33449-8094 | 2016-06-03 |
| 1649649955 | Genesiscare Usa of Florida, LLC | Surgery | 3319 State Road 7, Suite 105, Wellington, FL 33449-8094 | 2015-09-16 |
| 1952780629 | Grace Lesley Camile Sharp | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449 | 2015-05-27 |
| 1821412909 | Lifestyle Medicine Specialists of Palm Beach LLC | Preventive Medicine | 3319 State Road 7, Suite 212, Wellington, FL 33449-8094 | 2014-02-10 |
| 1053732735 | Advanced Endodontics | Clinic/Center | 3319 State Road 7, Suite 315, Wellington, FL 33449-8094 | 2013-12-23 |
| 1609218965 | Stacy R Rosenblum | Dermatology | 3319 State Road 7, Ste 110, Wellington, FL 33449-8094 | 2013-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144855172 | Young Skin, P.a. | Dermatology | 5200 S University Dr Ste 102, Davie, FL 33328-5316 | 2020-03-10 |
| 1043309909 | Pearl Chu Kwong | Dermatology | 10175 Fortune Pkwy, Suite 1203, Jacksonville, FL 32256-3519 | 2006-10-11 |
| 1942238258 | Children's Skin Center Pa | Dermatology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2006-06-28 |
| 1053365429 | Andrew M Margileth | Dermatology | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-05-20 |
| City | WELLINGTON |
| Zip Code | 33449 |
Please comment or provide details below to improve the information on TRUDERM PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.